Improving gingival smile by means of guided bone regeneration principles

ABSTRACT Objective: This study evaluated the effectiveness of guided bone regeneration (GBR) carried out with xenogenic bone substitute (Bio-OssTM) and collagen resorbable membrane (Bio-GideTM) to improve gingival smile (GS) in patients with excessive vertical maxillary growth (EVMG). Methods: Twelve healthy women aged between 20 and 49 years old (mean age of 26 years), with 5 mm or more of gingival exposure during fully posed smile (FPS) due to EVMG, were included. Baseline digital photographs were taken with standardized head position at rest and FPS. In eight out of 12 cases, crown lengthening procedure was indicated and the initial incision was made 2 to 4 mm from the gingival margin. In four cases, with no indication for crown lengthening procedure, a sulcular incision was performed. GBR was performed in all cases, using micro screws and/or titanium mesh associated with Bio-OssTM and Bio-GideTM. After 10 days, sutures were removed. Recall appointments were scheduled at 1, 6, and 12 months when standardized photographs were again taken. ImageToolTM software was used to measure the gingival exposure (GE) during FPS from the standardized close-up smile photographs at baseline and 12 months. Results: GE mean at baseline was 275.44 mm2. After 12 months, patients who undergone exclusively GBR procedure, presented GE reduction of 40.7%, ∆ = 112.01 mm2 (statistically significant, p = 0.12), and patients who had crown lengthening associated with the graft had a reduction of 60%, ∆ = 167.01 mm2. Conclusion: Our results using GBR to improve GS in cases of EVMG showed an exceptionally high patient acceptance and satisfaction. One-year follow-up confirmed stable results.

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Autotransplantation of mature impacted tooth to a fresh molar socket using a 3D replica and guided bone regeneration: two years retrospective case series

10.21203/rs.2.12324/v4 ◽

2019 ◽

Author(s):

Ye Wu ◽

Jiaming Chen ◽

Fuping Xie ◽

Huanhuan Liu ◽

Gang Niu ◽

...

Keyword(s):

Clinical Outcome ◽

Bone Regeneration ◽

Case Series ◽

Guided Bone Regeneration ◽

Third Molars ◽

Retrospective Case ◽

Impacted Tooth ◽

Probing Depth ◽

One Year

Abstract Background: The aim of this study was to evaluate the clinical outcome of autotransplantation of mature third molars to fresh molar extraction sockets using 3D replicas. Methods: Ten patients underwent teeth autotransplantation with or without GBR. We observed the mobility, percussion, radiography examination, the probing depth and the masticatory function of the transplanted teeth during two years following up, which were transplanted into fresh molar sockets by using 3D replicas, and GBR when it is necessary. Results: The average extra-oral time of donor tooth had been shortened to 1.65 min when used the 3D replica. Some probing depth of the transplanted tooth were deeper than 3 mm at 4 or 5 weeks temporarily. And one patient felt slight sensitive when chewing with soft food at 4 weeks, then disappeared. The clinical examination of the autotransplantation teeth during one year follow-up showed no sign of failure. Conclusions: The tooth autotransplantation using 3D replica with or without GBR is an effective method which can reduce the extra-oral time of the donor teeth and may result in less failure.

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GUIDED BONE REGENERATION WITHOUT A MEMBRANE USING ANORGANIC BOVINE BONE. A ONE-YEAR FOLLOW-UP RETROSPECTIVE CASE SERIES D. Razukevicius, T. Shalev, A.

Clinical Trials in Dentistry ◽

10.36130/ctd.01.2021.05 ◽

2021 ◽

Vol 03 (01) ◽

pp. 49

Author(s):

D. Razukevicius ◽

T. Shalev ◽

A.H. Shalev ◽

K. Nagy ◽

M. Shacham ◽

...

Keyword(s):

Bone Regeneration ◽

Case Series ◽

Guided Bone Regeneration ◽

Bovine Bone ◽

Retrospective Case ◽

Retrospective Case Series ◽

One Year

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Autotransplantation of mature impacted tooth to a fresh molar socket using a 3D replica and guided bone regeneration: two years retrospective case series

10.21203/rs.2.12324/v3 ◽

2019 ◽

Author(s):

Ye Wu ◽

Jiaming Chen ◽

Fuping Xie ◽

Huanhuan Liu ◽

Gang Niu ◽

...

Keyword(s):

Clinical Outcome ◽

Bone Regeneration ◽

Case Series ◽

Guided Bone Regeneration ◽

Third Molars ◽

Retrospective Case ◽

Impacted Tooth ◽

Probing Depth ◽

One Year

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A Preshaped Titanium Mesh for Guided Bone Regeneration with an Equine-Derived Bone Graft in a Posterior Mandibular Bone Defect: A Case Report

Dentistry Journal ◽

10.3390/dj7030077 ◽

2019 ◽

Vol 7 (3) ◽

pp. 77

Author(s):

Danilo Alessio Di Stefano ◽

Gianbattista Greco ◽

Enrico Gherlone

Keyword(s):

Bone Regeneration ◽

Bone Biopsy ◽

Guided Bone Regeneration ◽

Bone Augmentation ◽

Titanium Mesh ◽

Augmentation Techniques ◽

Stereolithographic Model ◽

Regeneration Procedure ◽

Light Curing

One of the most often used bone augmentation techniques is the guided bone regeneration procedure. The authors report the case of a 75-year-old man with an atrophic right posterior mandible who underwent bone augmentation through guided bone regeneration with a preshaped titanium mesh adapted on a stereolithographic model of the patient’s jaw. The graft volume was simulated with a light-curing resin. The actual site was grafted with a mixture of autogenous and equine-derived bone. Five months later, the mesh was retrieved, three cylindrical implants were positioned, and a bone biopsy was collected for histomorphometric analysis. A provisional prosthesis was delivered three and a half months later. Definitive rehabilitation was accomplished after one additional month. The graft allowed for effective bone formation (newly formed bone, residual biomaterial, and medullar spaces were, respectively, 39%, 10%, and 51% of the core volume). The patient has functioned successfully throughout six and a half years of follow-up. Using the preshaped titanium mesh in association with the enzyme-treated equine bone substitute provided effective bone regeneration.

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RADIOGRAPHIC CHANGES IN THE BONE GRAFTS DURING GUIDED BONE REGENERATION WITH THE USE OF TITANIUM MESH ON CLASSICAL AND AUTHORS' OWN METHODS FOR THE MUCOSAL FLAPS DETACHMENT

World of Medicine and Biology ◽

10.26724/2079-8334-2020-1-71-63-68 ◽

2020 ◽

Vol 16 (71) ◽

pp. 063

Author(s):

D. V. Kaplun ◽

D. S. Avetikov ◽

O. S. Ivanytska ◽

I. V. Boiko ◽

V. M. Havryliev

Keyword(s):

Bone Regeneration ◽

Bone Grafts ◽

Guided Bone Regeneration ◽

Titanium Mesh ◽

Radiographic Changes

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Digital Customized Titanium Mesh for Bone Regeneration of Vertical, Horizontal and Combined Defects: A Case Series

Medicina ◽

10.3390/medicina57010060 ◽

2021 ◽

Vol 57 (1) ◽

pp. 60

Author(s):

Daniele De Santis ◽

Federico Gelpi ◽

Giuseppe Verlato ◽

Umberto Luciano ◽

Lorena Torroni ◽

...

Keyword(s):

Bone Formation ◽

Bone Regeneration ◽

Case Series ◽

Guided Bone Regeneration ◽

Point Of View ◽

Significant Gain ◽

Titanium Mesh ◽

New Bone Formation ◽

Correct Method ◽

Combined Defects

Background and Objective: Guided bone regeneration allows new bone formation in anatomical sites showing defects preventing implant rehabilitation. Material and Methods: The present case series reported the outcomes of five patients treated with customized titanium meshes manufactured with a digital workflow for achieving bone regeneration at future implant sites. A significant gain in both width and thickness was achieved for all patients. Results: From a radiographic point of view (CBTC), satisfactory results were reached both in horizontal and vertical defects. An average horizontal gain of 3.6 ± 0.8 mm and a vertical gain of 5.2 ± 1.1 mm. Conclusions: The findings from this study suggest that customized titanium meshes represent a valid method to pursue guided bone regeneration in horizontal, vertical or combined defects. Particular attention must be paid by the surgeon in the packaging of the flap according to a correct method called the “poncho” technique in order to reduce the most frequent complication that is the exposure of the mesh even if a partial exposure of one mesh does not compromise the final outcome of both the reconstruction and the healing of the implants.

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Long-Term Follow-Up on Soft and Hard Tissue Levels Following Guided Bone Regeneration Treatment in Combination with a Xenogeneic Filling Material: A 5-Year Prospective Clinical Study

Clinical Implant Dentistry and Related Research ◽

10.1111/j.1708-8208.2009.00163.x ◽

2010 ◽

Vol 12 (4) ◽

pp. 263-270 ◽

Cited By ~ 27

Author(s):

C. Dahlin ◽

M. Simion ◽

N. Hatano

Keyword(s):

Clinical Study ◽

Bone Regeneration ◽

Guided Bone Regeneration ◽

Prospective Clinical Study ◽

Filling Material ◽

Hard Tissue ◽

Tissue Levels ◽

Long Term Follow Up

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Horizontal-guided Bone Regeneration using a Titanium Mesh and an Equine Bone Graft

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1653 ◽

2015 ◽

Vol 16 (2) ◽

pp. 154-162 ◽

Cited By ~ 12

Author(s):

Danilo Alessio Di Stefano ◽

Gian Battista Greco ◽

Lorenzo Cinci ◽

Laura Pieri

Keyword(s):

Bone Graft ◽

Bone Regeneration ◽

Guided Bone Regeneration ◽

Bone Sample ◽

Successful Outcome ◽

Autogenous Bone ◽

Titanium Mesh ◽

Ridge Augmentation ◽

Stereolithographic Model ◽

Equine Bone

ABSTRACT Aim The present work describes a horizontal ridge augmentation in which a titanium mesh was preshaped by adapting it to a stereolithographic model of the patient's jaw that was fabricated from CT scans. Background Guided bone regeneration (GBR) involves covering the augmentation site with a long-lasting barrier to protect it from the invasion of surrounding soft tissues. Among barriers, titanium meshes may provide a successful outcome, but the intraoperatory time needed to shape them is a disadvantage. Case description The 54-year-old patient, missing the right mandibular second bicuspid, first molar, and second molar, had her atrophic ridge augmented with a 30:70 mixture of autogenous bone and equine, enzyme-deantigenic collagenpreserved bone substitute. Two conical implants were inserted concomitantly in the second bicuspid and first molar positions, and the site was protected with the preshaped mesh. Four months later, the titanium mesh was retrieved, a bone sample was collected, and histological and histomorphometric analyses were performed. Provisional and definitive prostheses were then delivered, and follow-up controls were performed for up to 24 months. Conclusion Preshaping the mesh on a model of the patient's mandible shortened the surgical time and enabled faster mesh placement. Two years after surgery, the implants were perfectly functional, and the bone width was stable over time as shown by radiographic controls. Histological analysis of the bone sample showed the heterologous biomaterial to be biocompatible and undergoing advanced remodeling and replacement with newly formed bone. Clinical significance Preshaping a titanium mesh over a stereolithographic model of the patient's jaw allowed for a significant reduction of the intraoperative time and may be therefore, advisable in routine practice. How to cite this article Di Stefano DA, Greco GB, Cinci L, Pieri L. Horizontal-guided Bone Regeneration using a Titanium Mesh and an Equine Bone Graft. J Contemp Dent Pract 2015;16(2):154-162.

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